TAMARYN CORNELIUS-WELLS (NP) – Nurse Practitioner, NPI 1306189899
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
Provider Addresses for TAMARYN CORNELIUS-WELLS (NP)
P O BOX 1000 DEPT 457
MEMPHIS, TN 381480001
Phone: (901) 516-7237
Fax: (901) 516-7240
Type: Mailing
5323 HARRY HINES BLVD
DALLAS, TX 753907201
Phone: (214) 645-4673
Type: Mailing
1265 UNION AVE
MEMPHIS, TN 381043415
Phone: (901) 516-7237
Fax: (901) 516-7240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-26
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130528000125 | I | Nurse Practitioner | TN | TBD |
| I20220817000866 | I | Nurse Practitioner | TX | TBD |
| I20260226003884 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine, Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Internal Medicine, Pediatric Medicine | TN | |
| Nurse Practitioner | MS | |
| Emergency Medicine, Family Practice | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine, Family Practice | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN |
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